PROVIDENCIA D GONZALEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049167002

License Status

NOT RENEWED

Business

First Name

PROVIDENCIA

Middle

Last Name

GONZALEZ

Business Name

PROVIDENCIA D GONZALEZ

Original Issue Date

03/24/2006

Effective Date

07/06/2015

Expiration Date

03/31/2016

City

CHICAGO

State

Zip

60632

County

COOK

Ever Disciplined

LastModifiedDate

07/25/2022